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General NPI Number Information
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NPI Number | 1720864101
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Entity Type | Individual
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Provider Name | THERESA J SINGH PTA
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Gender | Female
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 1451 MORTHLAND DR
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City | VALPARAISO
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State | IN
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Zip | 46385-6357
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Country | US
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Telephone | 219-286-3882
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Fax | 219-703-3703
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Provider Business Mailing Address
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Address Line | 372 CHERRYFIELD DR
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City | VALPARAISO
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State | IN
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Zip | 46385-8422
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Country | US
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Telephone | 219-716-4141
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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